30
Years in mental health
27
Years of clinical practice
1M+
One million+ readers reached monthly via GoodTherapy.org, as Founder and former CEO
25 years of
providing
IFS therapy
Noah trained in IFS directly with its developer, Richard Schwartz, PhD, beginning in 2002. He went on to assist in IFS trainings, host workshops, and supervise other IFS therapists. In 2007 he founded GoodTherapy.org, one of the world’s leading mental health resources, which he led until 2018.
Some of the things
I help people with...
People come to therapy for many reasons. Some know exactly what hurts, others know that something just doesn't feel right. When something's off it can show up in how you relate to yourself, how you relate to others, how you cope with stress or pain, or in the distance between how you feel and how you'd like to feel.
WHAT I OFFER
Two ways we might work together.
Each begins with a free 15 minute consultation so we can briefly connect and see whether the fit feels right.
Individual IFS Psychotherapy
For adults who want to better understand themselves, work through painful or long standing patterns, and create deeper, more lasting change. My work is strongly informed by Internal Family Systems therapy, which helps us approach the parts of ourselves that struggle, react, protect, defend, or carry hurt and fear with curiosity and compassion, so that old patterns can begin to loosen and new ways of being can emerge.
Couples and Marriage Counseling
For couples who feel distant, conflicted, or caught in patterns they don’t know how to change. Couples therapy can help each person communicate more openly and understand one another more deeply, so that both partners feel heard, cared for, and less alone in the relationship. Along the way, couples begin to recognize the patterns they create together and learn new ways of responding that can bring more understanding, connection, and compassion into difficult moments.
When Success No Longer Feels Like Success
Success doesn't always protect people from feeling bad inside. In fact, some of the most capable people carry an enormous amount beneath the surface while appearing composed to everyone around them. You may be doing well in many visible ways, yet still feel stressed, overwhelmed and unhappy. Online therapy can provide a safe place to change momentum. Meeting by video or phone often makes therapy easier to maintain when life is already full. From the familiarity of your own space, people generally find it easier to begin the process of changing their life. Therapy can help shift long held patterns and help a person to reset, and realign to who they want to be.
There are times in life when success begins to feel strangely hollow.
From the outside, everything may appear to be working. A career may be well established. Responsibilities may be handled. Financial stability may be present. Other people may see a person as capable, accomplished, and fortunate. Yet privately, something no longer feels the way it once did.
What once felt motivating may begin to feel draining. Achievements may still happen, but the satisfaction they bring fades quickly. Life may continue moving forward, but it no longer feels deeply nourishing.
For many people, this is one of the quieter reasons therapy begins.
This experience can be especially confusing for thoughtful and high functioning adults. If life appears successful, why does it feel less fulfilling than expected? Why does so much effort still lead to a subtle sense of emptiness, pressure, or disconnection?
These are not superficial questions. They often emerge when a person has spent many years building a life that works on the outside, while neglecting or losing touch with deeper parts of themselves along the way.
In communities like Medina, where many people carry significant personal and professional responsibility, it can be easy for emotional life to recede into the background. People become busy managing obligations, making decisions, solving problems, and staying ahead of what needs attention next. These capacities are real strengths. They help people build meaningful lives and contribute in important ways.
But inner life does not always thrive under constant management.
At some point, many people begin noticing that they know how to perform, provide, organize, and achieve, but they are less sure how to truly rest, feel, or enjoy the life they have created.
The Strange Disappointment of Getting What You Thought You Wanted
One of the more painful experiences in adulthood is realizing that reaching certain goals does not automatically create peace.
People often imagine that if they work hard enough, accomplish enough, or build enough security, they will eventually arrive at a place inside themselves that feels settled. They imagine there will be a day when striving can finally relax.
But for many people, that day never quite arrives.
Instead, new goals replace old ones. New responsibilities take shape. New pressures appear. Satisfaction becomes brief. The nervous system remains activated. The mind moves quickly to the next problem, the next plan, the next demand.
Over time, people may begin to suspect that the issue is not simply external. It is not just about workload, success, or stress. Something deeper is happening.
Often the parts of us that learned to manage life efficiently have taken on too much authority. These parts may be intelligent, disciplined, and highly adaptive. They may be excellent at leading, organizing, protecting, and anticipating. They often help people succeed in demanding environments.
But when these parts are always in charge, life can begin to feel narrow.
There may be less room for spontaneity. Less access to joy. Less capacity for rest. Less connection to grief, longing, vulnerability, creativity, or love. The person may remain productive, but feel increasingly distant from what makes life feel alive.
Many of these struggles are connected to the ways people have learned to cope over time. I explore this more in Unhappiness Is a Result of How We Cope and What Is in the Way of Feeling Good.
Why Accomplishment Does Not Always Heal Inner Distress
Achievement can solve many practical problems. It can create opportunity, security, influence, and freedom.
What it cannot do is heal the unresolved emotional burdens a person may still be carrying.
No amount of competence can fully quiet a part of someone that feels inadequate. No amount of admiration can fully soothe a part that has long felt unseen. No amount of success can permanently relieve a nervous system that learned to stay vigilant.
This is one reason people are sometimes surprised by their own suffering. They may look around at the life they have built and feel guilty for not feeling better. They may wonder why gratitude alone does not resolve the inner tension. They may tell themselves they should be fine.
But emotional life does not respond well to being argued with.
Therapy can offer a different approach. Rather than forcing pain away, therapy can help people understand the inner patterns shaping their experience. It becomes possible to see which parts of the personality are working so hard, what they are afraid would happen if they stopped, and what older burdens they may still be carrying.
This is part of why I find Internal Family Systems therapy so valuable. It helps people understand the different parts of themselves with more clarity and compassion, rather than viewing their struggles as evidence that something is wrong with them.
The Cost of Always Being Strong
Many adults who seek therapy have spent years being the one others rely on.
They are competent in crisis. They are good at making decisions. They know how to stay composed. They know how to keep moving when life becomes demanding. In many settings, these qualities are deeply respected.
Yet there is often a hidden cost.
When someone is known for being strong, others may assume they do not need much support. Conversations can stay on the surface. More vulnerable emotions may remain private. The person may lose access to spaces where they can simply be uncertain, tired, sad, confused, or in need.
Over time, this can create a profound kind of loneliness.
Not loneliness in the obvious sense of being isolated, but the loneliness of feeling that one’s deeper inner world has gone largely unseen.
Sometimes success intensifies this problem. The more externally capable a person appears, the harder it can become to acknowledge internally that something feels off. They may keep functioning at a high level while privately becoming more exhausted, less connected, and less able to feel genuine pleasure.
Experiences like these often involve self pressure, perfectionism, or harsh inner evaluation. I speak more about that in Self-Criticism and Perfectionism and Self-Doubt, Feeling Flawed, Worthless, Impostor Syndrome.
What Therapy Can Make Possible
Good therapy is not simply a place to vent, analyze, or gather coping tools, though those can have value.
At a deeper level, therapy can become a place where a person begins reconnecting with aspects of themselves that have been overshadowed for a long time.
This may include the part that feels tender. The part that feels burdened. The part that still longs for more ease, more meaning, more emotional honesty. It may also include the highly organized, protective, striving parts that have worked so hard for so long and deserve understanding rather than criticism.
When therapy goes well, people often begin to experience more internal space.
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More calm.
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More clarity.
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More self-trust.
More compassion for the life they have lived and the adaptations they have made.
As the inner system becomes less dominated by constant pressure and over functioning, people often find that they do not need to force meaning so aggressively. It begins to emerge more naturally. They feel more present in their relationships. They enjoy simple things more fully. They are less driven by fear and more guided by what genuinely matters.
If you would like a better feel for my approach, you can read How I Help People and Explore Therapy.
Online Therapy for Medina, Washington
Although I am based in Olympia, I work with adults throughout Washington State by secure telehealth.
For many people in Medina, online therapy offers privacy, flexibility, and ease. Sessions can happen from home or another confidential location, without adding another commute to an already full schedule. For people balancing demanding work, family obligations, leadership responsibilities, or complex personal lives, this often makes therapy more accessible and more sustainable.
What matters most is not whether therapy happens in the same physical room, but whether the work feels thoughtful, grounded, and genuinely helpful.
If you are looking for a therapist in Medina, online therapy allows you to work with a Washington licensed therapist while remaining in the setting where your actual life is unfolding. You can also learn more about Noah, as well as practical details about fees.
Choosing the Right Therapist
Finding the right therapist matters.
Training and experience are important, but so is the feeling of the relationship itself. Therapy tends to work best when there is a sense of trust, depth, and emotional honesty. People need a space where they do not feel managed, judged, or reduced to a set of symptoms.
If you are considering therapy, it may help to begin with a brief conversation and see whether the fit feels right. You may also find this article helpful: How to Find the Right Therapist.
Schedule a Free Phone Consultation
If you are looking for a therapist in Medina and this approach resonates with you, you are welcome to reach out to schedule a consultation. We can briefly talk about what brings you to therapy, what you are hoping for, and whether this work feels like a good fit.
About Medina, Washington
Medina is a small residential city in King County on the shores of Lake Washington, positioned between Bellevue and Seattle. It is known for its quiet neighborhoods, privacy, and proximity to major professional and business centers on the Eastside and in Seattle. With a relatively small population, an affluent residential character, and close access to Bellevue’s leadership and technology communities, Medina is the kind of place where many people carry substantial responsibility while living in outwardly comfortable environments. For some, therapy can offer a rare place to step out of that pressure and reconnect with a deeper sense of inner life and wellbeing.